Khawucinge ngemeko apho ungakwazi ukuchama kakuhle ngenxa yengxaki yesinyi sakho, mhlawumbi ngenxa yomhlaza, ingozi, okanye imeko yokuzalwa. Kwimeko enjalo, udinga enye indlela yokususa umchamo emzimbeni wakho. Okanye izintso zakho zisenokonakala . Esinye isisombululo esicetyiswa ngoogqirha kwiimeko ezinjalo lutyando olubizwa ngokuba yi- ureterostomy . Nangona igama lale nto lisenokuvakala liyinkimbinkimbi kancinci, masithethe ngayo ngokulula.
Yintoni i-Ureterostomy?
Ngamafutshane, le yindlela yotyando equka ukususwa kweetyhubhu ezithwala umchamo kwizintso zakho ukuya kwisinyi sakho (ezibizwa ngokuba zii-ureters) uze uzidibanise nomngxuma omncinci eluswini lwesisu sakho. Lo mngxuma ubizwa ngokuba yi- stoma ngokwezonyango.
Khawucinge nje, xa inxalenye ethile yenkqubo yemibhobho yamanzi ivaliwe, sifaka umbhobho omtsha ukuze siphephe ukuvaleka size sikhuphe amanzi. Emva kolu tyando, umchamo wakho awuyi kwisinyi kodwa uphuma emzimbeni ngqo kwizintso ngeso stoma. Ukuqokelela umchamo ophumayo, kusetyenziswa ingxowa ekhethekileyo (ingxowa) enamathele kwistoma. Xa le ngxowa igcwele, singayikhupha.
Olu tyando ludla ngokwenziwa njengesisombululo esihlala sihleli. Ngamanye amaxesha i-ureter enye kuphela enokunxibelelana, okanye zombini zinokudityaniswa.
Kutheni kufuneka wenze olu hlobo lotyando?
Kukho izizathu ezahlukeneyo zokuba ugqirha angacebisa olu tyando kuwe. Esona sizathu siphambili kukuba isinyi sakho asisebenzi kakuhle.
- Xa kukhutshwe isinyi: Ngamanye amaxesha, ngenxa yemeko yempilo efana nomhlaza wesinyi, kunokufuneka isuswe ngokupheleleyo.
- Xa isinyi sonakele: Xa isinyi sonakele ngenxa yengozi okanye enye imeko yempilo kwaye singasebenzi kakuhle.
- Iimeko ezingaqhelekanga zokuzalwa: Ezinye iimeko zokuzalwa, ezifana ne-spina bifida, zinokubangela ukungasebenzi kakuhle kwesinyi.
- Ukulimala Kwentambo Yomgogodla: Ukulimala kwentambo yomgogodla kunokuchaphazela imithambo-luvo elawula isinyi, nto leyo ebangela ubunzima bokuchama.
Kuyingozi ukuba umchamo uvaleleke emzimbeni ngenxa yezizathu ezinje. Oku kunokubangela ukuba uchame rhoqo.Iintsholongwane zoMchamo ( UTIs ) zinokwenzeka kwaye ekugqibeleni zikhokelele ekungasebenzini kwezintso. Ngoko ke olu tyando lunokunciphisa loo mngcipheko.
Zeziphi iimvavanyo ezenziwayo ngaphambi kotyando?
Ngaphambi kokuba benze olu tyando, oogqirha baza kwenza uvavanyo oluninzi ukuze baqonde ngcono imeko yomzimba wakho.
| Igama lovavanyo | Ngamafutshane, ubona ntoni kuyo? |
|---|---|
| Uvavanyo lokusebenza kwezintso | Jonga indlela ezisebenza kakuhle ngayo izintso zakho. |
| Uvavanyo lwegazi | Jonga impilo yomzimba ngokubanzi kwaye nokuba kukho naziphi na izifo. |
| Uvavanyo lwemifanekiso (i-X-ray, i-Ultrasound) | Fumana ukuqonda okubonakalayo ngesimo kunye nendawo ezikuyo izintso, ii-ureters, kunye nesinyi. |
| I-pyelogram yokubuyisela umva | Kufakwa ulwelo olukhethekileyo (idayi) nge-urethra kwaye kuthathwa i-X-ray ukuze kubonwe ukuba kukho naziphi na izithintelo kwinkqubo yomchamo. |
| I-C. T. Scan (i-CT scan) | Kuthathwa iifoto zomzimba ezinqamlezileyo ukuze kufunyanwe umfanekiso ocacileyo. |
| I-M. R. I. (i-MRI) | Kufunyanwa imifanekiso eneenkcukacha ezininzi zezintso kunye nomgudu womchamo. |
Kwakhona, ngaphambi kotyando, ugqirha okanye umongikazi oqeqeshwe ngokukodwa uza kuthetha nawe ukuze akhethe indawo efanelekileyo yokwenza i-stoma. Kufuneka ibe yindawo onokuyibona lula kwaye ungayi kubanjwa kwiimpahla zakho (umz., ibhanti) .
Ubomi emva kotyando kunye nokunyamekela i-stoma
Emva kotyando, kuya kufuneka uqhelane nendlela entsha yokuphila, kodwa akunzima njengoko unokucinga.
Indlela esebenza ngayo istoma kunye nebhegi
I-stoma ayisosihlunu. Ngenxa yoko, ayinakulawula umchamo . Umchamo uyaqhubeka nokuphuma ngokucotha.
- Inkqubo yokufunxa: Le ineenxalenye ezimbini. Enye sisithintelo esinamathela eluswini. Enye sisingxobo esiqokelela umchamo. Ngamanye amaxesha, iiyunithi ziza nazo zombini.
- Umqobo: Esi sisitikha esisikwere esinomngxuma phakathi ukuze silingane nestoma. Intsini ekhethekileyo ekule nto inceda ukuthintela ukuvuza komchamo kwaye iwugcina unamathele eluswini.
- Isikhwama somchamo: Esi sincamatheliswe kwibala lesikhumba. Umchamo uqokelelana ngqo kulo.
Ngokwesiqhelo, ingxowa kufuneka ikhutshwe xa igcwele isiqingatha okanye isithathu . Ngaphandle kokususa ingxowa, ungavula ivalvu esezantsi uze ukhuphele umchamo kwindlu yangasese. Ebusuku, ungancamathisela ityhubhu kule valve uze uqokelele umchamo kwingxowa enkulu. Ekubeni ezi ngxowa zilingana kakuhle emzimbeni, azibonakali xa unxibe impahla eqhelekileyo.
Ukunyamekela i-stoma kunye nolusu olujikelezileyo
Kubaluleke kakhulu ukugcina istoma kunye nolusu oluyijikelezileyo lucocekile kwaye lomile.
- Hlamba istoma kunye nolusu olujikelezileyo yonke imihla usebenzisa isepha namanzi athambileyo.
- Hlamba ngamanzi ide isepha iphele.
- Emva koko, yiyeke yome kakuhle. Akulunganga ukuba nomswakama.
Isikhwama kunye nomqobo kufuneka zitshintshwe rhoqo emva kweentsuku ezi-5-7 . Isibhedlele siza kukufundisa indlela yokwenza konke oku.
Kufuneka uthethe nini nogqirha?
Soloko uqaphela i-stoma yakho kunye nolusu oluyijikelezileyo. Ukuba ubona naluphi na utshintsho, yazisa ugqirha wakho ngoko nangoko.
| Iimpawu ekufuneka uzijonge | Inkcazo |
|---|---|
| Iingxaki zolusu | |
| Ubomvu okanye ukukrweleka | Ukuba ulusu olujikeleze istoma lubomvu, luyarhawuzelela, okanye luphuma amanzi. |
| Ukuqhambuka kwesikhumba okanye ukwenzakala | Ukuba ulusu lomile, luqhekekile, okanye lunamaqhuqhuva. |
| Iimpawu zosulelo | |
| Utshintsho kumchamo | Umchamo omnyama, igazi kumchamo, okanye ivumba elibi. |
| Ezinye iimpawu | Intlungu yomqolo, umkhuhlane, isicaphucaphu kunye/okanye ukuhlanza, ukungabi namdla wokutya. |
Umyalezo Wokuya Ekhaya
- I-ureterostomy yinkqubo yotyando esetyenziselwa ukukhupha umchamo emzimbeni xa isinyi singasebenzi.
- Oku kuvumela umchamo ukuba uphume ngqo kwizintso ngomngxuma (stoma) owenziwe eluswini uze uqokeleleke kwingxowa ekhethekileyo.
- Kubalulekile ukugcina istoma kunye nolusu olujikelezileyo lucocekile kakhulu ukuthintela usulelo kunye neengxaki zolusu.
- Ukuba ubona naziphi na iingxaki, ezinje ngomkhuhlane, utshintsho kumchamo, okanye ukubomvu kolusu, yazisa ugqirha wakho ngoko nangoko.
- Nangona olu tyando luza kuba lutshintsho olukhulu ebomini bakho, luza kuthintela umonakalo omkhulu kwizintso zakho kwaye lukuncede uphile ubomi obusempilweni.
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